Individual provider Active NPI

Phillip A Adams, PT,DPT,ATC

  • Physical Therapist
  • Weaverville, NC
National Provider Identifier
1861916694
Registry record updated Aug 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P17303 Issued in NC
Practice address
61 Weaver Blvd Ste H
Weaverville, NC 28787-6317
Phone
(828) 484-9415
Fax
(828) 484-9478
NPI assigned
Aug 2, 2017
Last updated
Aug 2, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P17303 NC Primary

Addresses

Primary practice location

61 Weaver Blvd Ste H
Weaverville, NC 28787-6317

Mailing address

21 Turtle Creek Dr
Asheville, NC 28803-3152
Phone (828) 274-2188

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010000031 NC Practitioner - Physical Therapist in Private Practice 3072888544 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeastern Physical Therapy, LLCGroup PAC ID 0840583407, 20 clinicians

Practice addresses (Care Compare)

19 Westridge Market PL
Candler, NC 28715-9174
Phone (828) 633-6287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P17303NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physical Therapy, LLC Physical Therapist CurrentSince Jul 31, 2017 Accepting new patients
Southeastern Physical Therapy, LLC Past Accepting new patients

Locations

19 Westridge Market Pl
Candler, NC 28715
Phone (828) 274-2188

59 Weaver Village Way
Weaverville, NC 28787
Phone (828) 484-9415

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501632000000",
    "number": "1861916694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 TURTLE CREEK DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033152",
            "telephone_number": "828-274-2188",
            "fax_number": "828-274-7843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 WEAVER BLVD STE H",
            "city": "WEAVERVILLE",
            "state": "NC",
            "postal_code": "287876317",
            "telephone_number": "828-484-9415",
            "fax_number": "828-484-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT,DPT,ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2017-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P17303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weaverville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.